Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
76,221
Total Claims
$12.7M
Drug Cost
936
Beneficiaries
$14K
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-41%
Opioid rate vs peers
1.3% vs 2.2% avg
+865%
Cost per patient vs peers
$14K vs $1,411 avg
+74%
Brand preference vs peers
18.5% vs 10.6% avg
🔎 Data Overview
Cost per patient is 865% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
1.3%
Opioid Rate
1,004
Opioid Claims
$18K
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 13,951 claims · $7.4M
Generic: 61,288 claims · $5.3M
Patient Profile
76
Avg Age
66%
Female
1.69
Avg Risk Score
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations of wrongdoing.Methodology · About · Dispute this data